| NPI | 1912141136 |
|---|---|
| Former Name | LUZ EVELYN JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 52250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 52250) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2013-07-30 |